NPIMap

Organization Active NPI

Mineral Area Osteopathic Hospital Inc

Doing business as Mineral Area Regional Medical Center

  • Nurse Practitioner
  • Farmington, MO
National Provider Identifier
1124220637
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MINERAL AREA OSTEOPATHIC HOSPITAL INC
Doing business as
Mineral Area Regional Medical Center
Practice address
1103 Weber Rd
Suite 102
Farmington, MO 63640-3326
Phone
(573) 756-3662
Fax
(573) 756-3640
NPI assigned
Jun 5, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rick Jenkins
Title
Acfo
Phone
(573) 701-7293

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X MO Primary
Family Medicine Physician 207Q00000X MO
Internal Medicine Physician 207R00000X MO

Addresses

Primary practice location

1103 Weber Rd
Suite 102
Farmington, MO 63640-3326

Mailing address

603 Wallace Road
Farmington, MO 63640
Phone (573) 756-3662

Other names 1

  • Mineral Area Regional Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

1103 Weber Rd
Ste 202
Farmington, MO 63640
Phone (573) 454-2410

751 Maple Valley Dr
Ste B
Farmington, MO 63640

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1124220637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 WALLACE ROAD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "63640",
            "telephone_number": "573-756-3662",
            "fax_number": "573-756-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 WEBER RD",
            "address_2": "SUITE 102",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403326",
            "telephone_number": "573-756-3662",
            "fax_number": "573-756-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERAL AREA OSTEOPATHIC HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "ACFO",
        "authorized_official_telephone_number": "573-701-7293"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mineral Area Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.